In which of the following scenarios would the RN anticipate glucocorticoids (steroids) to be prescribed?

Maintenance therapy of controlled chronic asthma

Severe asthmatic attack

Asthma that is unresponsive to bronchodilator therapy

Acute allergic reaction

Answer and Explanation

The Correct Answer is C

A. Maintenance therapy of controlled chronic asthma

Glucocorticoids are commonly used as maintenance therapy for controlled chronic asthma to prevent exacerbations and maintain long-term control.

B. Severe asthmatic attack

While bronchodilators are often the first-line treatment for a severe asthmatic attack, glucocorticoids may be added to reduce inflammation and improve overall outcomes.

C. Asthma that is unresponsive to bronchodilator therapy

In cases where asthma is unresponsive to bronchodilator therapy or there is an exacerbation of asthma symptoms, glucocorticoids (steroids) are often prescribed. These medications have anti-inflammatory effects and can help reduce airway inflammation, improving symptoms and preventing further exacerbation.

D. Acute allergic reaction

Glucocorticoids may be used in the management of acute allergic reactions, but they are not the first-line treatment. Antihistamines and other medications are typically used initially, and glucocorticoids may be added in certain cases.

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Correct Answer is C

Explanation

A. Tiotropium bromide (Spiriva)

Tiotropium bromide is a long-acting anticholinergic bronchodilator used for maintenance therapy in conditions like chronic obstructive pulmonary disease (COPD). It is not indicated for the immediate relief of acute asthma symptoms.

B. Montelukast (Singulair)

Montelukast is a leukotriene receptor antagonist used for maintenance therapy in asthma. It is not a rescue medication and does not provide immediate relief during an acute asthma attack.

C. Albuterol (Proventil)

In the case of an acute asthma attack, the nurse should prepare to administer a short-acting bronchodilator. Albuterol (Proventil) is a short-acting beta-agonist bronchodilator that provides rapid relief of bronchoconstriction and acute symptoms during an asthma attack.

D. Acetylcysteine (Mucomyst)

Acetylcysteine is a mucolytic agent used to help loosen and thin mucus in the airways. It is not indicated for the immediate relief of bronchoconstriction during an acute asthma attack.

A. Administer phenergan (Promethazine) 12.5 mg IVP at 1st complaint of nausea. B. Administer ondansetron (Zofran) 4mg IV Push after Ms. Samuels complains of nausea. C. Administer ondansetron (Zofran) 4mg IV push some time between 1300-1330. D. Administer phenergan (Promethazine) 25 mg PO at 1345

Correct Answer is C

Explanation

Explanation:

A. Administer phenergan (Promethazine) 12.5 mg IVP at the first complaint of nausea.

This option suggests waiting until the patient complains of nausea before administering the antiemetic. It is not a proactive approach and may not effectively prevent nausea associated with chemotherapy.

B. Administer ondansetron (Zofran) 4mg IV Push after Ms. Samuels complains of nausea.

Similar to option A, this choice involves waiting for the patient to experience nausea before administering the medication. Again, it is not a proactive strategy for preventing chemotherapy-induced nausea and vomiting.

C. Administer ondansetron (Zofran) 4mg IV push sometime between 1300-1330.

This option is the most appropriate among the given choices. It suggests administering the antiemetic (ondansetron) before the scheduled chemotherapy session. Ondansetron is commonly used as a prophylactic measure to prevent nausea and vomiting associated with chemotherapy.

D. Administer phenergan (Promethazine) 25 mg PO at 1345.

This choice involves administering the antiemetic (phenergan) orally just 15 minutes before the scheduled chemotherapy session. While it is better than waiting for symptoms to appear, oral medications may take some time to be absorbed, and it might not provide as rapid relief as an intravenous (IV) medication.

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In which of the following scenarios would the RN anticipate glucocorticoids (steroids) to be prescribed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home care nurse is visiting a client with asthma who suddenly experiences an acute asthma attack. Which drug should the nurse prepare to administer?

Correct Answer is C

Explanation

Ms. Samuels is scheduled to receive chemotherapy this afternoon at 1400. Her prescribed chemotherapy treatment causes nausea and vomiting as a side effect. How should the RN approach treating this patient for this side effect?

Correct Answer is C

Explanation

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